| NPI | 1255542494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 63982) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01062252A) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2023-05-23 |